HEMOPTYSIS (COUGHING BLOOD)

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Acute cough with yellow, blood-streaked mucus
  • Inflammation of throat and/or tongue
  • Fever and chills with more fever than chills
  • Perspiration.
  • Cough with sticky yellow sputum
  • Hemoptysis sometimes with Blood in the sputum and sometimes pure Blood
  • Headache
  • Sore throat
  • General bodily soreness and malaise
  • Aversion to Wind and Heat.
  • Yellow nasal discharge
  • Thirst with desire for cold drinks
  • Red bumps around mouth and lips
  • Nasal obstruction
  • Dyspnea
  • Chest pain
  • Dry mouth and nose
  • Rapid breathing
  • Maybe constipation
  • Maybe scanty urine
  • T: Red tip and rim
  • C: Thin and yellow or Thin and white
  • P: Rapid and floating
Treatment Principle
  • Release the Exterior
  • Clear Heat
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Dry cough with little or no sputum
  • Sputum is difficult to expectorate
  • Maybe hemoptysis
  • Cough may cause chest pain
  • Dry or sore throat
  • Hoarse voice
  • Dry lips and mouth
  • Thirst
  • Irritability
  • Mild fever
  • Aversion to Wind
  • Dryness in nose
  • Epistaxis
  • Chills and fever
  • Headache
  • Anhidrosis
  • Dry skin and hair
  • Constipation
  • T: Red tip
  • C: Thin, yellow and dry or Thin, white and dry
  • P: Floating and maybe rapid
Treatment Principle
  • Cleanse the Lungs
  • Moisten Dryness
  • Stop cough
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • High fever with agitation
  • Purple-black rashes
  • Hemoptysis
  • Epistaxis
  • Clouded Spirit
  • Delirious raving
  • Severe:
    Convulsions of the four limbs
    Opisthotonis
    Phlegm gurgling in the throat
  • T: Crimson
  • C: Charred
  • P: Forceful and rapid
Treatment Principle
  • Cool the Blood
  • Resolve toxicity
  • Clear the Heart
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Dry, hacking Cough with yellow sputum containing Blood or
  • Cough with much bright red Blood and no sputum
  • Fever with or without sweating
  • Dry nostrils
  • Burning pain in the nose
  • Slight itching in the nose
  • Shortness of breath
  • Dyspnea or
  • Wheezing
  • Chest tightness and pain
  • Dry mouth
  • Dry throat
  • Thirst
  • Sore throat
  • Chest pain
  • Headache
  • General malaise
  • Restlessness
  • Constipation
  • Dry stools
  • Dark-colored, scanty urine
  • Red swelling or erosion in the nostrils
  • T: Red or Red tip
  • C: Thin and yellow
  • P: Wiry or Rapid or Flooding and rapid or Wiry and rapid
Treatment Principle
  • Clear Heat
  • Disperse the Lungs
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Epistaxis
  • Alternating chills and fever
  • Bitter taste in mouth
  • Thirst
  • Dry throat
  • Rib pain (doesn't like touch)
  • Hypochondriac pain
  • Nausea/vomiting
  • Hypogastric pain and distension
  • T:  Red
  • C:  Yellow
  • P:  Rapid and wiry
Treatment Principle
  • Relieve Gall Bladder Heat
  • Pacify The Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium (mania)
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or purple red
  • C: None
  • P: Rapid or thready and rapid or thready and feeble
Treatment Principle
  • Cool the Blood
  • Dispel Heat and toxins from the Xue Stage
  • Promote Blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium (mania)
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • Stiffness
  • Convulsions
    Clenched jaws
    Clenched fists
    Shaking
  • Opisthotonis
  • Stiff neck
  • Semi-consciousness
  • T: Deep red, dry
  • C: None
  • P: Wiry and rapid
Treatment Principle
  • Subdue Wind,
  • Clear Heat
  • Nourish Yin
  • Stop convulsions
Herb Formulas
Points
Clinical Manifestations
  • Dry cough
  • No sputum expectorated
  • Small amounts of difficult to expectorate sputum
  • Blood tinged sputum (when Yin Deficiency Fire is present)
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in afternoon)
  • Five sole Heat
  • Dry mouth and throat
  • Itching in throat
  • Hoarse voice, low voice or loss of voice
  • Emaciation
  • T: Red and dry
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Rapid breathing with a harsh voice
  • Hacking or rattling cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess)
  • The sputum is difficult to expectorate
  • Maybe chills and fever or
  • Fever
  • Dyspnea
  • Asthma, worse at night or first thing in the morning
  • Fullness and distention in the chest and diaphragm
  • Chest pain
  • Sore or congested throat
  • Pain in the ribs
  • Dry mouth
  • Bitter taste in the mouth
  • Loose stools or
  • Lethargy
  • Malaise
  • Anorexia
  • Nausea
  • Abdominal distention
  • Constipation
  • Scanty, dark urine
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid or Soft
Treatment Principle
  • Clear Heat
  • Eliminate Phlegm
  • Relieve cough
  • Counteract Toxin
  • Transform Stasis
  • Drain Pus
  • Cool the Blood
  • Stop bleeding
Herb Formulas
  • Wei Jing Tang modified
  • Qing Qi Hua Tan Wan
  • Chinese Patent Medicines:
    Qing Qi Hua Tan Wan
    Qing Fei Yi Huo Pian
    Yunnan Bai Yao
    (can be added to either of the above formulas)
Points
Clinical Manifestations
  • Cough with blood streaked sputum
  • Wheezing
  • Dry, sore throat
  • Five sole Heat
  • Afternoon fever
  • Low grade fever
  • Malar flush
  • Irritability
  • Insomnia
  • Shortness of breath
  • Nocturnal emission
  • Steaming bones
  • Vivid dreaming
  • Fatigue
  • Tinnitus
  • Dizziness
  • Dyspnea
  • Dysphoria
  • Hoarseness
  • Night sweats
  • Maybe hemoptysis
  • Restlessness
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Transform Phlegm
  • Stop Cough
  • Clear Heat
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Dry, weak, chronic cough with blood streaked sputum
  • Wheezing
  • Chest oppression and pain
  • Expectoration of small amounts of thick, sticky sputum
  • Dry mouth
  • Dry, sore throat
  • Dry, burning sensation on the skin
  • Five sole Heat
  • Afternoon fever
  • Low grade fever
  • Night sweats
  • Malar flush
  • Irritability
  • Insomnia
  • Shortness of breath
  • Nocturnal emission
  • Steaming bones
  • Vivid dreaming
  • Fatigue
  • Anorexia
  • Tinnitus
  • Dizziness
  • Dyspnea
  • Dysphoria
  • Hoarseness
  • Restlessness
  • Emaciation
  • Irregular menstruation
  • Dry stools
  • Low back pain
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Transform Phlegm
  • Stop Cough
  • Clear Heat
  • Nourish the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Coughing up bloody Phlegm
  • Coughing up bloody foam
  • Occasionally coughing up dark purple Blood
  • Palpitations
  • Coughing that makes the patient lean for easier breathing
  • Insomnia
  • Stabbing pain and oppression in the chest
  • Cyanotic lips
  • A somber facial complexion
  • Soot-black eye sockets
  • T: Dark purple with static maculae and spots
  • C: White
  • P: Deep and wiry, or Choppy or Wiry or Slightly slow or Irregularly interrupted
Treatment Principle
  • Invigorate the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Sensation of Heat and irritability in the chest, diaphragm and abdomen
  • Delirious speech (severe)
  • Hemoptysis
  • Thirst
  • Flushed face
  • Red or scorched lips
  • Tongue sores
  • Sore throat
  • Swollen tongue
  • Red eyes
  • Epistaxis
  • Constipation
  • Toothache
  • Alternating chills and fever
  • Hematemesis
  • Fever
  • Bitter taste in mouth
  • Red urine
  • Dry, chapped lips
  • Dark, scanty urine
  • Restlessness
  • Vomiting
  • Red mouth or ulcers on the mouth
  • Hypochondriac pain
  • Rashes
  • Insomnia
  • Mania
  • T: Red body or Red edges
  • C: Yellow and dry or White and dry
  • P: Slippery (maybe) and rapid
Treatment Principle
  • Drain Fire
  • Unblock the bowels by Clearing the Upper Jiao and Draining the Middle and Lower Jiaos
Herb Formulas
Points
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • The above symptoms occur with bleeding.
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Hematochezia
  • Hematemesis
  • Hemoptysis
  • Epistaxis
  • Metrorrhagia
  • Cold extremities
  • A wan or sallow complexion
  • Dark red or pale Blood
  • General fatigue
  • A lack of taste
  • No thirst
  • Pale face
  • T: Pale or Dull red
  • C: White
  • P: Deep, thready and weak
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Nourish the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Toothache
  • Loose teeth
  • Bleeding gums
  • Frontal headache
  • Irritability
  • Fever
  • Thirst with a desire to drink cold beverages
  • Epistaxis
  • Dysphoria
  • Excess hunger
  • Hemoptysis
  • Dry throat
  • Hematemesis
  • Restlessness
  • Warm sensations
  • T: Red and dry
  • C: White or Yellow and dry
  • P: Superficial, full, slippery, deficient and large or Gigantic and rapid or Rapid
Treatment Principle
  • Drain Heat from the Stomach and Heart
  • Replenish Yin
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Irritability
  • Restlessness
  • Anxiety
  • Flushed face
  • Constipation
  • Abdominal distention
  • Delirious speech
  • Epigastric distention
  • Jaundice
  • Gastric distention
  • Dysenteric disorders
  • Hematemesis
  • Epistaxis
  • Red, swollen, painful eyes
  • Chest oppression
  • Red, swollen ears
  • Restlessness
  • Insomnia
  • Thirst
  • Dark, concentrated urine
  • Tinnitus
  • Hemoptysis
  • Vomiting
  • Shoulder stiffness
  • Bleeding
  • Diarrhea
  • Suppurative skin infection
  • Tongue and mouth ulcerations
  • T: Red tip
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Drains Fire
  • Relieves toxicity
  • Drains Dampness
  • Dispels noxious Heat and toxins from the Heart and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Goiter
  • Possible nodulations
  • Possible exophthalmos
  • Tension around the eyes
  • Severe, splitting headaches
  • Aversion to heat
  • Restlessness
  • Hot flashes
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome)
  • Weakness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Palpitations
  • Hemoptysis
  • Excess dreams
  • Stools difficult to pass
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Increased food intake
  • Emaciation
  • Constipation or dry stools
  • Maybe rib pain
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • T: Red or Red tip and edges
  • C: None or Thick, yellow, dry and rough
  • P: Thready and rapid or Wiry, Shi and Rapid
 
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Paroxysmal intense coughing which comes in bursts
  • Coughing up Blood or
  • Coughing up Blood tinged sputum
  • The cough may be aggravated or initiated by emotional upset
  • During the coughing spell, the patient is flushed, hot and upset
  • Rib pain which is severe when coughing
  • Burning pain in the chest
  • Burning pain in the flanks
  • Alternating fever and chills
  • Fullness in the chest and hypochondrium (with or without pain)
  • Temporal headache
  • Dizziness
  • Bitter taste in mouth
  • Nausea
  • Continuous vomiting
  • Hard focal distension in the epigastrium
  • Fullness and pain in the epigastrium
  • Burning diarrhea or no bowel movement
  • Despondency
  • Slight fidgeting
  • Angry outbursts
  • Dry mouth
  • Thirst
  • Slight irritability
  • Headache
  • Constipation or discharge of fluids rectally
  • Tinnitus
  • Diminished hearing
  • Diminished vision
  • Red eyes
  • Dry throat
  • Anger
  • Manic behavior
  • Asthma
  • Mental instability
  • Dark urine
  • T: Normal or red
  • C: Yellow or Thick and yellow or Dry and yellow
  • P: Wiry and forceful or Wiry tight and forceful or Wiry and rapid
Treatment Principle
  • Harmonizes and Disperses the Shao Yang
  • Drains Internal Heat Retention
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome)
  • Weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Dry mouth and tongue
  • Lower back and knee pain
  • Urinary difficulty
  • Weakness of the lower back, knees and extremities
  • Steaming bones
  • Light-headedness
  • Vertigo
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Muscular weakness
  • Irritability
  • Dry skin
  • Spontaneous and nocturnal emissions
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Swollen gums, painful and light red in color
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Urinary incontinence
  • Pain at midline and in lower back
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • T: Red
  • C: Little or None
  • P: Thready and rapid (large at the Kidney positions)
Treatment Principle
  • Enrich Yin
  • Nourish the Essence of the Liver and Kidneys
  • Reduce Deficiency Fire
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Cough with frothy and/or bloody sputum
  • Chest pain
  • T: Purple
  • C: White
  • P: Deep and wiry or Deep and choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Hypertension
  • Dizziness
  • Headache
  • Confusion of mind
  • Delirium (mania)
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or purple red
    C: Yellow and dry
    P:  Rapid or thready and rapid or thready and feeble or Tight
Treatment Principle
  • Dispel Wind
  • Disperse Stagnation
  • Clear Heat
  • Remove Toxins
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity
  • Relieve inflammation
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Diarrhea with watery stools
  • Nausea and vomiting
  • No thirst
  • Anorexia
  • Abdominal and/or epigastric fullness (likes pressure)
  • Abdominal pain
  • Gastrointestinal weakness
  • Pale face
  • Frequent urination
  • Tends toward fatigue
  • May have cold limbs
  • May have headache with fever
  • Body aches
  • Epistaxis
  • Hematemesis
  • Shortness of breath
  • Lassitude
  • Epigastric pain
  • All Blood from bleeding is pale
  • Edema
  • Insomnia
  • Hemoptysis
  • Intestinal bleeding
  • Chronic bleeding
  • Hemafecia
  • Uterine bleeding
  • Rectal bleeding
  • Profuse menstrual flow
  • Chest fullness and pain
  • Hypochondriac pain that shoots toward the Heart
  • Intolerance of Cold
  • Rigid focal distention in the Heart region
  • Excessive production or drooling of foamy saliva
  • Emaciation
  • T: Pale, may be moist
  • C: White or None
  • P: Deep, weak and slow or Deep and thready or Big and weak
Treatment Principle
  • Warms the Middle Jiao
  • Dispels Cold
  • Strengthens the Spleen and Stomach
  • Tonifies Qi
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points